Organization
MOUNTAIN MOMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY BROOKS (CEO/FOUNDER)
(206) 795-4360
Entity
Organization
Contact information
Practice address
1154 CENTER DR STE D250, PARK CITY, UT 84098-1258
(206) 795-4360
Mailing address
PO BOX 683745, PARK CITY, UT 84068-3745
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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